scholarly journals The effectiveness of an online multimodal intervention for mental health promotion: A randomised controlled trial

2019 ◽  
Author(s):  
Geraldine Przybylko ◽  
Darren Morton ◽  
Lillian Kent ◽  
Jason Morton ◽  
Jason Hinze ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Intervention Group ◽  
Mental Health Promotion ◽  
Satisfaction With Life Scale ◽  
Control Group ◽  
Post Intervention ◽  
Multimodal Intervention ◽  
Sf 36 ◽  
Emotional Wellness

Abstract Introduction There is an urgent need for efficacious interventions to combat the global mental health crisis, and mental health promotion and primary preventive approaches are paramount. Objective This study examined whether an online multimodal intervention that incorporates evidence-based strategies from the disciplines of Lifestyle Medicine and Positive Psychology improved measures of mental health and emotional wellness. Methods 425 adults (68.8% females, aged 46.5 ± 15.6) from Australia and New Zealand were randomised to an intervention or control group. The intervention group participated in a ten-week online multimodal intervention. Measures of mental health and emotional wellness were taken at baseline (Week 1), post-intervention (Week 12), and 12 weeks post-intervention (Week 24). The control group completed the same assessments. Results The intervention group experienced significant improvements from Week 1 to 12 in: mental health (10%, p<0.001, d=0.50) and vitality (22%, p<0.001, d=0.54) subscales of the Short Form Survey (SF-36); depression (-42%, p<0.001, d=0.48), anxiety (-38%, p<0.001, d=0.39) and stress (-31%, p<0.001, d=0.52) subscales of the Depression, Anxiety and Stress Scale (DASS-21); and life satisfaction (8%, p<0.001, d=0.48) as measured by the Satisfaction With Life Scale (SWLS).The control group experienced significant improvements only in the mental health (3%, p=0.028, d=0.16) subscale of the SF-36, and the stress subscale (-9%, p=0.038, d=0.15) of the DASS-21. The changes in the intervention group were significantly greater (p<0.001) than the control group for all measures. Improvements in the outcome measures were generally sustained for the intervention group at 12 weeks post-intervention. Conclusion The online multimodal intervention improved measures of mental health and emotional wellness suggesting that such interventions may be useful for mental health promotion and prevention.

scholarly journals The effectiveness of an online multimodal intervention for mental health promotion: A randomised controlled trial

2020 ◽  
Author(s):  
Geraldine Przybylko ◽  
Darren Morton ◽  
Lillian Kent ◽  
Jason Morton ◽  
Jason Hinze ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
New Zealand ◽  
Intervention Group ◽  
Mental Health Promotion ◽  
Control Group ◽  
Post Intervention ◽  
Multimodal Intervention ◽  
Sf 36 ◽  
Emotional Wellness

Abstract Introduction: There is an urgent need for efficacious interventions to combat the global mental health crisis, and mental health promotion and primary preventive approaches are paramount. Objective: This study examined whether an online multimodal intervention that incorporates evidence-based strategies from the disciplines of Lifestyle Medicine and Positive Psychology improved measures of mental health and emotional wellness. Methods: 425 adults (68.8% females, aged 46.5 ± 15.6) from Australia and New Zealand were randomised to an intervention or control group. The intervention group participated in a ten-week online multimodal intervention. Measures of mental health and emotional wellness were taken at baseline (Week 1), post-intervention (Week 12), and 12 weeks post-intervention (Week 24). The control group completed the same assessments. Results: The intervention group experienced significant improvements from Week 1 to 12 in: mental health (10%, p < 0.001, d = 0.50) and vitality (22%, p < 0.001, d = 0.54) subscales of the Short Form Survey (SF-36); depression (-42%, p < 0.001, d = 0.48), anxiety (-38%, p < 0.001, d = 0.39) and stress (-31%, p < 0.001, d = 0.52) subscales of the Depression, Anxiety and Stress Scale (DASS-21); and life satisfaction (8%, p < 0.001, d = 0.48) as measured by the Satisfaction With Life Scale (SWLS).The control group experienced significant improvements only in the mental health (3%, p = 0.028, d = 0.16) subscale of the SF-36, and the stress subscale (-9%, p = 0.038, d = 0.15) of the DASS-21. The changes in the intervention group were significantly greater (p < 0.001) than the control group for all measures. Improvements in the outcome measures were generally sustained for the intervention group at 12 weeks post-intervention. Conclusion: The online multimodal intervention improved measures of mental health and emotional wellness suggesting that such interventions may be useful for mental health promotion and prevention. Trial registration: The Australian New Zealand Clinical Trials Registry ACTRN12619000993190. Registered on 12 July 2019 (Retrospectively registered). The ANZCTRN is part of the WHO Primary Registries.

scholarly journals The effectiveness of an online interdisciplinary intervention for mental health promotion: a randomized controlled trial

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Geraldine Przybylko ◽  
Darren Morton ◽  
Lillian Kent ◽  
Jason Morton ◽  
Jason Hinze ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Outcome Measures ◽  
Intervention Group ◽  
Mental Health Promotion ◽  
Wait List ◽  
Post Intervention ◽  
Wait List Control ◽  
Emotional Wellness ◽  
Interdisciplinary Intervention

Abstract Background There is an urgent need for efficacious interventions to combat the global mental health crisis, and mental health promotion and primary prevention approaches are paramount. The aim of this study is to examine whether an online interdisciplinary intervention that incorporates evidence-based strategies from the disciplines of Lifestyle Medicine and Positive Psychology improves measures of mental health and emotional wellness. Methods A randomized controlled trial with a wait-list control (N = 425, aged 46.97 ± 14.5, 69.9% females) was conducted in Australia and New Zealand. The intervention group participated in a 10-week online interdisciplinary intervention. Primary outcome measures of mental health and emotional wellness were taken at baseline (Week 1), post-intervention (Week 12), and 12 weeks post-intervention (Week 24). The wait-list control completed the same assessments. Results General Linear Modelling analyses indicated that the intervention group experienced significantly greater improvements than the wait-list control group over time in all outcome measures: mental health (F(319) = 7.326, p = 0.007) and vitality (F(319) = 9.445, p = 0.002) subscales of the Short Form Survey (SF-36); depression (F(319) = 7.841, p = 0.005), anxiety (F(319) = 4.440, p = 0.36) and stress (F(319) = 12.494, p < 0.001) scales of the Depression, Anxiety and Stress Scale (DASS-21); and life satisfaction (F(319) = 8.731, p = 0.003) as measured by the Satisfaction With Life Scale. Within the intervention group, significant improvements were observed from Week 1 to 12 in all outcome measures: mental health (10%, t(167) = − 6.423), p < 0.001, dz = 0.50), vitality (22%, t(167) = − 7.043, p < 0.001, dz = 0.54), depression (− 41%, t(167) = 6.189, p < 0.001, dz = 0.48), anxiety (− 38%, t(167) = 5.030, p < 0.001, dz = 0.39), stress (− 31%, t(167) = 6.702, p < 0.001, dz = 0.52) and life satisfaction (8%, t(167) = − 6.199, p < 0.001, dz = 0.48). Improvements in the outcome measures remained significant in the intervention group at 12 weeks post-intervention. Conclusion The online interdisciplinary intervention improved measures of mental health and emotional wellness suggesting that such interventions may be useful for mental health promotion and prevention. Trial registration The Australian New Zealand Clinical Trials Registry. ACTRN12619000993190. Registered on 12 July 2019 (Retrospectively registered). The ANZCTRN is part of the WHO Primary Registries.

Suicide prevention and mental health promotion in adolescents: Lessons learned from the SEYLE “Saving and Empowering Young Lives in Europe” program

2014 ◽  
Vol 29 (S3) ◽  
pp. 573-573
Author(s):  
J.-P. Kahn
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Health Promotion ◽  
Prevention Programs ◽  
Mental Health Promotion ◽  
Control Group ◽  
Poor Sleep ◽  
Suicidal Behaviors ◽  
Awareness Program ◽  
Young Lives

IntroductionThe “Saving and Empowering Young Lives in Europe” (SEYLE) has gathered 12,395 high school students in 10 countries (including 1007 students in the Lorraine Region). It has been funded by the FP7 European program and coordinated by the Karolinska Institute. Its main goals were to encourage teenagers to adopt healthier behaviors by reducing risk behaviors and suicidal behaviors, to assess the benefits from various prevention programs and recommend evidence based and culturally adapted mental health promotion programs for teenagers.Inclusion and methodSEYLE is a randomized control trial evaluating 3 mental health prevention programs:– a program training school staff to identify and refer students at suicidal risk (QPR);– a mental health sensibilization program, aimed at the students (the Awareness program);– a mental health professional screening program, through self-report questionnaires and clinical interview.These prevention programs were compared to a minimal intervention control group. The students (aged 14–16 years old) filled a 127 items questionnaire at Baseline, M3 and M12.ResultsThe most salient results of this research have shown:– the efficacy on suicidal behaviors of prevention programs in schools, in particular the Awareness program (the mental health sensibilization universal program);– the existence of an invisible group of students at risk (highly sedentary students with poor sleep and media overexposure);– a high prevalence of depressive (10.5%) and (5.8%) anxious symptoms as well as non-suicidal injuries (7.8%) in European adolescents.Discussion and perspectivesThis study has provided evidence of the efficiency of mental health awareness programs in schools to decrease the number of suicides and suicidal behaviors in teenagers and to better identify “at risk” students.

Long-term outcome of a mental health promotion program in Germany

2018 ◽  
Vol 34 (3) ◽  
pp. 532-540 ◽  
Author(s):  
Lisa Lyssenko ◽  
Gerhard Müller ◽  
Nikolaus Kleindienst ◽  
Christian Schmahl ◽  
Mathias Berger ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Mental Distress ◽  
Satisfaction With Life ◽  
Mental Health Promotion ◽  
Study Entry ◽  
Control Group ◽  
Life Balance ◽  
Long Term Outcome

Summary Mental health promotion programs (MHP) seek to reduce sub-syndromal symptoms of mental distress and enhance positive mental health. This study evaluates the long-term effects of a mindfulness-based MHP program (‘Life Balance’) provided by health coaches in a multi-site field setting on mental distress, satisfaction with life and resilience. Using a controlled design, propensity score matching was used to select a control group for participants of the MHP. The total study sample (N = 3624) comprised 83% women, with a mean age of 50 years. Data was collected via mailings 1 year after study entry. Results suggest participants experience reduced emotional distress at 12-month follow-up, with a medium between-group effect size (d = 0.40) for those participants who showed clinically relevant symptoms of mental distress at study entry. The effects of the program were more pronounced in participants with higher initial distress scores. New cases of psychopathological symptoms were prevented in 1 of 16 participants. Satisfaction with life and resilience were enhanced significantly. Our data suggest ‘Life Balance’ shows long-term effectiveness and indicate it is possible to design MHP programs that serve as both primary and indicated prevention, and that these programs can be applied on a population basis.

A Single-Session Universal Mental Health Promotion Program in Japanese Schools: A Pilot Study

2018 ◽  
Vol 46 (10) ◽  
pp. 1727-1743 ◽  
Author(s):  
Mayumi G. Mio ◽  
Yuki Matsumuto
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Irrational Beliefs ◽  
Intervention Group ◽  
Self Esteem ◽  
Health Promotion Program ◽  
Control Group ◽  
Single Session ◽  
Promotion Program ◽  
Japanese Schools

A program based on cognitive behavioral therapy was developed for Japanese junior high school students aged 12–15 years. It consists of a single 50-minute session that targets a reduction in irrational beliefs, which is related to the improvement of psychological distress, such as anxiety and depression. The students were assigned to an intervention group (n = 238) and a control group (n = 277); the latter received an assertiveness training program. Students completed questionnaires including scales addressing irrational beliefs and self-esteem at pre- and post-program. The results revealed that, despite its short length, the OKS program significantly reduced irrational beliefs in the intervention group, in comparison to the control group. Moreover, both programs increased self-esteem. These findings imply the feasibility of a single-session universal mental health promotion program in Japanese schools.

scholarly journals Promosi Kesehatan Nola Pender Berpengaruh Terhadap Pengetahuan dan Kepatuhan ODHA Minum ARV

2017 ◽  
Vol 5 (1) ◽  
pp. 58
Author(s):  
Tuti Asrianti Utami
Keyword(s):  
Health Promotion ◽  
Health Service ◽  
Peer Group ◽  
Intervention Group ◽  
Total Sample ◽  
Control Group ◽  
P Value ◽  
People Living With Hiv ◽  
Post Intervention ◽  
Hiv Aids

<em>The success rate of ARV therapy depends on the adherence of HIV-AIDS patients in ARV treatment. The purpose of this study was to analyze the effect of NolaPender health promotion to improve the knowledge and adherence of PLWHA (People living with HIV-AIDS) with ARV in SintCarolus Health Service (SCHS) and Persahabatan General Hospital (PGH). This study used a Pre-Post test Quasi Eksperimantal Non Equivalent Control Group and a total sample of 90 respondents were recruited through the use of consecutive sampling with inclusion criteria where 45 respondents served as intervention group in SCHS and the remaining as control group in PGH from May-June 2016. The result showed most respondents were in the late adulthood stage (36-55 years old), male, having advanced education, working, exposed to counseling service, having family support as well as peer group support, easy in reaching health service and with health insurance. NolaPender health promotion increased the knowledge of ARV (mean score pre intervention was 5.31 to post intervention 7.04), and improving the adherence of taking ARV from moderate to good adherence as many as 51.1%. There was an effect of Nola Pender health promotion using booklet to respondents’ knowledge (p-value=0.000) from 13.3% to 91.1% and also effect of knowledge improvement of ARV to the adherence of taking ARV, with the support from peer group from 30.2% to 87.2%. The study recommends to continue this program of Nola Pender health promotion for PLWHA taking ARV in a structured and well planned system.</em>

scholarly journals The Influence of Gender and Age on the Outcomes of and Adherence to a Digital Interdisciplinary Mental Health Promotion Intervention in an Australasian Nonclinical Setting: Cohort Study (Preprint)

2021 ◽  
Author(s):  
Geraldine Przybylko ◽  
Darren Morton ◽  
Jason Morton ◽  
Melanie Renfrew
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Clinical Trials ◽  
New Zealand ◽  
Well Being ◽  
Mental Health Promotion ◽  
Satisfaction With Life Scale ◽  
Gender And Age ◽  
Clinical Trials Registry ◽  
Health And Well Being

BACKGROUND The global prevalence of mental health disorders is at a crisis point, particularly in the wake of COVID-19, prompting calls for the development of digital interdisciplinary mental health promotion interventions (MHPIs) for nonclinical cohorts. However, the influence of gender and age on the outcomes of and adherence to MHPIs is not well understood. OBJECTIVE The aim of this study was to determine the influence of gender and age on the outcomes of and adherence to a 10-week digital interdisciplinary MHPI that integrates strategies from positive psychology and lifestyle medicine and utilizes persuasive systems design (PSD) principles in a nonclinical setting. METHODS This study involved 488 participants who completed the digital interdisciplinary MHPI. Participants completed a pre and postintervention questionnaire that used: (1) the “mental health” and “vitality” subscales from the Short Form 36 (SF-36) Health Survey; (2) the Depression, Anxiety and Stress Scale (DASS-21); and (3) Satisfaction With Life Scale (SWL). Adherence to the digital interdisciplinary MHPI was measured by the number of educational videos the participants viewed and the extent to which they engaged in experiential challenge activities offered as part of the program. RESULTS On average, the participants (N=488; mean age 47.1 years, SD 14.1; 77.5% women) demonstrated statistically significant improvements in all mental health and well-being outcome measures, and a significant gender and age interaction was observed. Women tended to experience greater improvements than men in the mental health and well-being measures, and older men experienced greater improvements than younger men in the mental health and vitality subscales. Multiple analysis of variance results of the adherence measures indicated a significant difference for age but not gender. No statistically significant interaction between gender and age was observed for adherence measures. CONCLUSIONS Digital interdisciplinary MHPIs that utilize PSD principles can improve the mental health and well-being of nonclinical cohorts, regardless of gender or age. Hence, there may be a benefit in utilizing PSD principles to develop universal MHPIs such as that employed in this study, which can be used across gender and age groups. Future research should examine which PSD principles optimize universal digital interdisciplinary MHPIs. CLINICALTRIAL Australian New Zealand Clinical Trials Registry ACTRN12619000993190; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377889 and Australian New Zealand Clinical Trials Registry ACTRN12619001009101; http://www.anzctr.org.au/ACTRN12619001009101.aspx

scholarly journals Effect of a training program for promoting the mental health of nursing students in Zagazig University

2017 ◽  
Vol 7 (6) ◽  
pp. 10
Author(s):  
Hanem A.A. Ahmed ◽  
Safaa M. Metwally ◽  
Mona M. Abd El-Maksoud
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Nursing Students ◽  
Training Program ◽  
Mental Health Promotion ◽  
Nursing Program ◽  
Health Promotion Program ◽  
Control Group ◽  
Convenience Sample ◽  
And Control

Mental health is a vital and necessary component of health. Mental health promotion creates positive environments for the good mental health and wellbeing of populations. This study aimed to evaluate the effectiveness of the training program on promoting mental health of nursing students. Aquasi-experimental design was used. A convenience sample included 130 nursing students from the nursing program at Zagazig University were randomly assigned to intervention and control groups. Participants completed the Thai Defense Style Questionnaire 40 (DSQ-40) and Sense of Coherence Questionnaire (SOC-29). Prior to the implementation of training program, mean scores on both measures did not differ significantly between the intervention and control group. However there were significant differences between both groups before and after the intervention. The current findings supported the efficiency of mental health promotion program. Therefore, it is essential to conduct further structured and executive programs concerning promote mental health among the nursing students, which it is important to prepare nursing students to accomplish their experiences more effectively.

scholarly journals The Role of Tuan Guru on Improving Iron Intake and Minimalizing Food Restriction Behavior among Pregnant Women with Anemia

2021 ◽  
Vol 7 (1) ◽  
pp. 47
Author(s):  
Sabi'ah Khairi ◽  
Lalu Muhammad Harmain Siswanto ◽  
Heri Bahtiar ◽  
Ristrini Ristrini
Keyword(s):  
Health Promotion ◽  
Pregnant Women ◽  
Food Restriction ◽  
Intervention Group ◽  
Test Group ◽  
Control Group ◽  
Religious Leaders ◽  
Iron Intake ◽  
Post Intervention

Introduction: Anemia in pregnancy is an indirect cause maternal mortality. One of causes anemia during pregnancy is deficit of nutrient especially intake of iron. The aim of this study was to know that the role of religious leaders that called “Tuan Guru” as agent of change to improving iron intake among anemia pregnant women.Methods: This study was quasi-experimental with pre and post-test group design. 86 participants pregnant women with anemia have been recruited in this study with purposive sampling technic. They were divided in intervention group (47 participants) and control group (39 participants). This study involved Tuan Guru as main intervention to give health promotion about nutrition during pregnancy. This study used food recall as an instrument tool that it used to measure nutrient intake especially intake of iron both pre and post intervention and also used questonare to measure food restriction behaviour among anemia pregnant women. Statistical test used paired t-testResults: This study show that there were effect of religious leaders to improving the iron intake among pregnant women with anemia with p=0.01. This study also found that the habits of food restriction among pregnant women are decline between before and after intervention with p=0.00.Conclusion: Tuan Guru has a strong influence in helping to increase nutritional intake and is able to minimize the food restriction behaviour among anemia pregnant women. The result of this study can be a basis for government to make a policy related to involvement of religious leaders in health promotion.

scholarly journals A three-arm randomised controlled trial to evaluate the efficacy of a positive psychology and social networking intervention in promoting mental health among HIV-infected men who have sex with men in China

2021 ◽  
Vol 30 ◽  
Author(s):  
J. Li ◽  
P. K. H. Mo ◽  
C. W. Kahler ◽  
J. T. F. Lau
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Negative Affect ◽  
Social Networking ◽  
Controlled Trial ◽  
Mental Health Promotion ◽  
Control Group ◽  
Secondary Outcomes ◽  
Sex With Men ◽  
Randomised Controlled

Abstract Aims There is a lack of mental health promotion and treatment services targeting HIV-positive men who have sex with men (HIVMSM) in China. The aim of this study was to evaluate the mental health promotion efficacy of an online intervention that combined Three Good Things (TGT) with electronic social networking (TGT-SN) and an intervention that used TGT only (TGT-only), compared with a control group. Methods We conducted a randomised controlled trial among HIVMSM in Chengdu, China. The participants were randomly assigned to the TGT-SN, TGT-only, and control groups. The participants in the TGT-SN group were divided into five social network groups and asked to post brief messages to the group about three good things that they had experienced and for which they felt grateful. The participants in the TGT-only group were only required to write down their three good things daily without sharing them with others. The control group received information about mental health promotion once a week for a month. The primary outcome was probable depression. Secondary outcomes were anxiety, positive and negative affect, gratitude, happiness and social support. These outcomes were assessed at baseline, 1, 3, 6 and 12 months after the intervention. Repeated-measures analyses were conducted using generalised estimation equations. The study was registered with the Chinese Clinical Trial Registry (ChiCTR-TRC-13003252). Results Between June 2013 and May 2015, 404 participants were enrolled and randomly assigned to either the TGT-SN (n = 129), TGT-only (n = 139) or control group (n = 136). The main effects of TGT-SN (adjusted odds ratio (aOR) = 0.75, 95% CI 0.52–1.09; p = 0.131) and TGT-only (aOR = 0.83, 95% CI 0.57–1.21; p = 0.332) in reducing depression were statistically non-significant. The participants of the TGT-SN group showed significantly lower anxiety symptoms (aOR = 0.62, 95% CI 0.43–0.89; p = 0.009) and negative affect (β = −1.62, 95% CI 2.98 to −0.26; p = 0.019) over time compared with those of the control group. No significant main effect was found for any secondary outcomes for the TGT-only group. Conclusions The novel intervention combining the TGT exercise with electronic social networking was found effective in reducing anxiety and negative affect among HIVMSM.

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